MEDICARE: PATRICIA JEAN TROY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	THW000107049	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	THW000107049	OTHER	OR	OREGON THW

General Provider Information

NPI Number	:	1750017224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JEAN TROY

Provider Business Mailing Address
First Line	:	6019 SE 97TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97266-4524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6019 SE 97TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97266-4524
Country	:	US
Telephone Number	:	813-227-4041
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2022
Last Update Date	:	07/27/2022

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Directions to “ PATRICIA JEAN TROY ” Practice Location

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